Quality Assurance: Maximum Benefits and Minimal Risks

Angelika Bischof Delaloye

Centre HospitalierUniversitaire Vaudois and

University of Lausanne

Quality: Definition

A distinctive attribute or characteristic possessed by someone or something

Oxford English Dictionary

Quality: Definition

The standard of something as measured against other things of a similar kind; the degree of excellence of something.

Oxford English Dictionary

Improve the clinical practice of the speciality and the quality of services provided

Quality Management in Health Care IAEA’s Vision

Provide best possible service to patients

At the lowest possible risk

At adequate costs for patients and community, including the environment

Improve satisfaction of customers and providers

Quality Assurance

The principle is identical

for all domains

for small and large facilities 

all over the world

The myth of Sisyphos

Deming Cycle:Plan Do Check Act

QUANUM, QUATRO  and QUAADRIL audit proposals by the IAEA

• Task force meetings• Train the trainers• Train de auditors• Mock audits• Audit missions

QUANUM Process

Patient oriented 

Systematic Outcome based

38 reports of 42 missions included

Geographical distribution

Results

Dondi et al. Semin Nucl Med July 2017 epub

Results

Dondi et al. Semin Nucl Med July 2017 epub

policies, management

Results

Dondi et al. Semin Nucl Med July 2017 epub

policies, management

QC instrumentation, IT

Quality Assurance

Addresses the processes involved to obtain results rather than the results themselves

Standardisation

Education and training

Safety awareness

Traceability 

Communication

Sustainability

As a consequence, the results in management, technical quality and clinical services become consistent and reliable

Satisfaction of patients, referring physicians and other stakeholders improves

A culture of success builds up that is shared by all members of the team

Quality Assurance

Presenting

Continuous improvement is better thandelayed perfection

Mark Twain

Merci!